pin meds

[Pam09]

I am looking for a pain medication that is safe for the liver-over the counter.

[Pam09]

Thanks Bill. It really is all a little complicated.

[Bill1954]

Hi Pam--

You won’t find any argument in here that this whole thing is confusing ;o). Most doctors recommend Tylenol for pain relief on treatment; of course, no one in here is privy to your personal medical file like your own doc is. Always check with him/her for final authority.

There’s no evidence that Tylenol (acetaminophen) accumulates in the body; yes, it’s highly toxic to the liver in large doses, but taken as directed, it’s thought to be relatively safe. Other drugs like Naproxen and even Aspirin can affect blood clotting; and so can interferon, hence the reluctance some doctors have for recommending them.

This is an article you might be interested in:

Jorge L. Herrera M.D.
Division of Gastroenterology
University of South Alabama College of Medicine
Mobile AL

http://www.hcvadvocate.org/hcsp/articles/Herrera.html

“Acetaminophen use: Contrary to popular belief, acetaminophen (the active ingredient in Tylenol®) is perfectly safe for patients with cirrhosis as long as it is used cautiously. Any person who drinks alcohol regularly should not consume any acetaminophen. For patients with early cirrhosis (CPT class A or B), the use of acetaminophen is safe as long as the recommended dose is not exceeded (1,000 mg per dose, repeated no more often than every 6 hours). Patients with more advanced cirrhosis should take only ½ of the recommended dose. In fact, for patients with cirrhosis, acetaminophen, when used as described, is the preferred medication for the treatment of pain.”

Good luck with treatment, and welcome to the discussion group—

Bill

[copyman]

many take tylenol 1/2 hr before their shot. I did this when I was treating.  2 different hepatologist told me this was ok.

[Pam09]

Thanks Trinity. I have read that tylenol is toxic to the liver. I've also read that it's ok if taken in moderation.What am I supposed to believe? I appreciate your comment.Today is my 2nd day of tx so what do I know! Ha! I have been reading alot of info on the internet.Theres so much to take in! And so much to learn.I'm trying to get my diet right& everything else.

[Trinity4]

Tylenol works well and is recommended by most hepatologists for pain.  Those with advanced fibrosis should limit the dosage to around 2000mg within a 24 hr period.  I was also told I also could take NSAIDs but not to exceed the recommended dosage.

As with any drugs we take, check with your doctor first, especially if you're undergoing antiviral therapy.

Trinity